,NSG 548 Exam 2 Family Nurse Practitioner Questions And Answers
2026/2027 Wilkes University
Q1. Which developmental ability is most appropriate for a typically
developing 2-year-old?
A) Reading short sentences
B) Combining two words into simple phrases
C) Skipping with alternating feet
D) Drawing a recognizable person with several body parts
Correct Answer: B) Combining two words into simple phrases
Rationale: By approximately 2 years, children commonly begin combining
words into simple phrases and have rapidly expanding receptive and
expressive language. More advanced drawing and gross-motor skills emerge
later.
Q2. Which finding most strongly suggests readiness for toilet
training?
A) Staying dry for approximately 2 hours and following simple instructions
B) Reaching exactly 18 months of age
C) Starting preschool
D) Sleeping through the night
Correct Answer: A) Staying dry for approximately 2 hours and following
simple instructions
Rationale: Toilet-training readiness depends on physiologic, cognitive, and
behavioral development rather than a specific age. Awareness of elimination,
ability to remain dry, follow directions, communicate needs, and show
interest are useful readiness indicators.
Q3. A 3-year-old is most likely to demonstrate which gross-motor
skill?
A) Skipping smoothly
B) Riding a two-wheel bicycle
C) Performing a mature cartwheel
, D) Pedaling a tricycle
Correct Answer: D) Pedaling a tricycle
Rationale: Around age 3, gross-motor abilities commonly include running
well, climbing stairs, jumping, and pedaling a tricycle. More complex
coordinated movements develop later.
Q4. Which developmental finding is most appropriate for a typical 4-
year-old?
A) Reading simple paragraphs
B) Performing long division
C) Hopping on one foot and copying a cross
D) Writing full sentences independently
Correct Answer: C) Hopping on one foot and copying a cross
Rationale: Four-year-olds commonly show improving balance, coordination,
and visual-motor integration, including hopping on one foot and reproducing
simple shapes such as a cross.
Q5. A preschool child persistently uses speech that unfamiliar adults
cannot understand and appears frustrated when communicating.
What is the most appropriate next step?
A) Reassure without further assessment until school age
B) Begin stimulant therapy
C) Assess hearing and speech-language development
D) Assume oppositional behavior
Correct Answer: C) Assess hearing and speech-language development
Rationale: Speech delay or poor intelligibility can result from hearing
impairment, language disorder, developmental conditions, or other causes.
Hearing assessment is an important component of the evaluation.
Q6. Which play pattern is most developmentally characteristic of
preschool-age children?
A) No interest in imaginative activity
B) Increasing associative and imaginative play with peers
2026/2027 Wilkes University
Q1. Which developmental ability is most appropriate for a typically
developing 2-year-old?
A) Reading short sentences
B) Combining two words into simple phrases
C) Skipping with alternating feet
D) Drawing a recognizable person with several body parts
Correct Answer: B) Combining two words into simple phrases
Rationale: By approximately 2 years, children commonly begin combining
words into simple phrases and have rapidly expanding receptive and
expressive language. More advanced drawing and gross-motor skills emerge
later.
Q2. Which finding most strongly suggests readiness for toilet
training?
A) Staying dry for approximately 2 hours and following simple instructions
B) Reaching exactly 18 months of age
C) Starting preschool
D) Sleeping through the night
Correct Answer: A) Staying dry for approximately 2 hours and following
simple instructions
Rationale: Toilet-training readiness depends on physiologic, cognitive, and
behavioral development rather than a specific age. Awareness of elimination,
ability to remain dry, follow directions, communicate needs, and show
interest are useful readiness indicators.
Q3. A 3-year-old is most likely to demonstrate which gross-motor
skill?
A) Skipping smoothly
B) Riding a two-wheel bicycle
C) Performing a mature cartwheel
, D) Pedaling a tricycle
Correct Answer: D) Pedaling a tricycle
Rationale: Around age 3, gross-motor abilities commonly include running
well, climbing stairs, jumping, and pedaling a tricycle. More complex
coordinated movements develop later.
Q4. Which developmental finding is most appropriate for a typical 4-
year-old?
A) Reading simple paragraphs
B) Performing long division
C) Hopping on one foot and copying a cross
D) Writing full sentences independently
Correct Answer: C) Hopping on one foot and copying a cross
Rationale: Four-year-olds commonly show improving balance, coordination,
and visual-motor integration, including hopping on one foot and reproducing
simple shapes such as a cross.
Q5. A preschool child persistently uses speech that unfamiliar adults
cannot understand and appears frustrated when communicating.
What is the most appropriate next step?
A) Reassure without further assessment until school age
B) Begin stimulant therapy
C) Assess hearing and speech-language development
D) Assume oppositional behavior
Correct Answer: C) Assess hearing and speech-language development
Rationale: Speech delay or poor intelligibility can result from hearing
impairment, language disorder, developmental conditions, or other causes.
Hearing assessment is an important component of the evaluation.
Q6. Which play pattern is most developmentally characteristic of
preschool-age children?
A) No interest in imaginative activity
B) Increasing associative and imaginative play with peers
